ALLIANCE PHYSICIAN INC (NPI# 1629350939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629350939 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PHYSICIAN INC |
| Other Organization Name | DIKLAR MAKOLA |
| Practice Address |
415 Byers Rd Suite 100 Miamisburg OH 45342-3684 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3660 |
| Practice Telephone | 9378663336 |
| Practice Fax Number | 9378650122 |
| Mailing Telephone | 9373844838 |
| Mailing Fax Number | 9373844845 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 9375583222 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE PHYSICIAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2712872 | 05 |
| Other Name | Type Code |
|---|---|
| Diklar Makola | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821160243 | Alliance Physician Inc | Family Medicine | 4403 Far Hills Ave, Kettering, OH 45429-2405 | 2006-11-14 |
| 1891077194 | Alliance Physician Inc | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 | 2011-09-13 |
| 1285916585 | Alliance Physician Inc | Psychiatry & Neurology | 3533 Southern Blvd, Suite 5200, Kettering, OH 45429-1275 | 2011-09-13 |
| 1598047813 | Alliance Physician Inc | Orthopaedic Surgery | 2350 Miami Valley Dr, Suite 320, Centerville, OH 45459-4000 | 2011-09-13 |
| 1275815672 | Alliance Physician Inc | Internal Medicine | 3737 Southern Blvd, Suite 3200, Kettering, OH 45429-1286 | 2011-09-13 |
| 1710269113 | Alliance Physician Inc | Obstetrics & Gynecology | 3737 Southern Blvd, Suite 3100, Kettering, OH 45429-1286 | 2011-09-13 |
| 1669754065 | Alliance Physician Inc | Physician Assistant | 405 W Grand Ave, Or Dept, Dayton, OH 45405-4720 | 2011-09-13 |
| 1104108406 | Alliance Physician Inc | Surgery | 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 | 2011-09-13 |
| 1629350020 | Alliance Physician Inc | Surgery | 3737 Southern Blvd, Suite 2000a, Kettering, OH 45429-1262 | 2011-09-13 |
| 1679855985 | Alliance Physician Inc | Urology | 7756 Washington Village Dr, Suite 135, Centerville, OH 45459-3953 | 2011-09-13 |
| Street Address |
415 BYERS RD SUITE 100 |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-3684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117932 | Sandra L Kimball | Nurse Practitioner | 415 Byers Rd, Suite 300, Miamisburg, OH 45342 | 2005-07-13 |
| 1144696808 | Alexandra Starkey | Physician Assistant | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3696 | 2015-08-18 |
| 1912211285 | Alliance Physicians, Inc. | Non-Pharmacy Dispensing Site | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3696 | 2010-07-29 |
| 1811121619 | Alliance Physicians Inc | Family Medicine | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3696 | 2009-05-07 |
| 1780772426 | Miamisburg Family Practice Inc | Family Medicine | 415 Byers Rd, Suite 300, Miamisburg, OH 45342 | 2006-10-10 |
| 1053424135 | Judith Kay Stutes | Physician Assistant | 415 Byers Rd, Suite 300, Miamisburg, OH 45342 | 2006-08-16 |
| 1285694752 | Rajeev Mehta Md Inc | Specialist | 415 Byers Rd, Suite 100, Miamisburg, OH 45342-3684 | 2006-03-27 |
| 1407834153 | David S Page | Family Medicine | 415 Byers Rd, Ste 300, Miamisburg, OH 45342-3684 | 2006-01-04 |
| 1447237334 | Anil K Agarwal | Family Medicine | 415 Byers Rd, Ste 300, Miamisburg, OH 45342-3684 | 2005-12-30 |
| 1790762854 | Sarah Hussain | Family Medicine | 415 Byers Rd, Ste 300, Miamisburg, OH 45342-3684 | 2005-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205907136 | Rajeev Mehta | Internal Medicine | 415 Byers Rd Ste 100, Miamisburg, OH 45342-3684 | 2006-11-13 |
| 1225246689 | Diklar Makola | Internal Medicine | 415 Byers Rd Ste 100, Miamisburg, OH 45342-3684 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779911 | Gregory B Cortese | Internal Medicine | 32800 Lorain Rd, North Ridgeville, OH 44039-3430 | 2019-03-19 |
| 1619461381 | Beth Kulow | Internal Medicine | 395 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-18 |
| 1467961078 | Gastro Office LLC | Internal Medicine | 4600 Leap Ct Ste 101, Hilliard, OH 43026-1171 | 2017-09-26 |
| 1023536687 | Specialty Medicine Care, LLC | Internal Medicine | 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 | 2017-09-05 |
| 1861925430 | Ohio Digestive and Liver Associates LLC | Internal Medicine | 503 Wooster Rd, Mount Vernon, OH 43050-1486 | 2017-04-10 |
| 1982099370 | Michael Kurin | Internal Medicine | 11100 Euclid Ave Ste 247, Cleveland, OH 44106-1716 | 2015-04-02 |
| 1396140604 | Noufal Jajeh | Internal Medicine | 930 Wapakoneta Ave, Sidney, OH 45365-1460 | 2014-10-29 |
| 1619371580 | Specialty Medicine Care, LLC | Internal Medicine | 1250 W. National Rd, Suite 700, Englewood, OH 45315 | 2014-10-21 |
| 1821417239 | Ahmad Nasr Anaizi | Internal Medicine | 1025 Refugee Rd Fl 1, Pickerington, OH 43147-9861 | 2014-04-14 |
| 1205260890 | Columbiana Gastroenterology Group Inc | Internal Medicine | 235 E State Route 14, Columbiana, OH 44408-8494 | 2013-08-30 |
| Find all providers with the same taxonomy | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.